dc.contributor.author
Splieth, Christian H.
dc.contributor.author
Banerjee, Avijit
dc.contributor.author
Bottenberg, Peter
dc.contributor.author
Breschi, Lorenzo
dc.contributor.author
Campus, Guglielmo
dc.contributor.author
Ekstrand, Kim Rud
dc.contributor.author
Giacaman, Rodrigo A.
dc.contributor.author
Haak, Rainer
dc.contributor.author
Hannig, Matthias
dc.contributor.author
Hickel, Reinhard
dc.contributor.author
Juric, Hrvoje
dc.contributor.author
Lussi, Adrian
dc.contributor.author
Machiulskiene, Vita
dc.contributor.author
Manton, David J.
dc.contributor.author
Jablonski-Momeni, Anahita
dc.contributor.author
Opdam, Niek J. M.
dc.contributor.author
Paris, Sebastian
dc.contributor.author
Santamaría, Ruth M.
dc.contributor.author
Schwendicke, Falk
dc.contributor.author
Tassery, Herve
dc.contributor.author
Ferreira Zandona, Andrea
dc.contributor.author
Zero, Domenick T.
dc.contributor.author
Zimmer, Stefan
dc.contributor.author
Doméjean, Sophie
dc.date.accessioned
2021-10-11T12:07:14Z
dc.date.available
2021-10-11T12:07:14Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/32267
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-31994
dc.description.abstract
This paper provides recommendations for dentists for the treatment of dental caries in children, with an emphasis on early childhood caries (ECC), primary teeth, and occlusal surfaces in permanent teeth. A consensus workshop followed by an e-Delphi consensus process was conducted with an expert panel nominated by the European Organization for Caries Research (ORCA) and European Federation of Conservative Dentistry (EFCD)/German Association of Conservative Dentistry (DGZ) boards. Based on 3 systematic reviews and a nonsystematic literature search, recommendations were developed. The caries decline has led to a more polarized disease distribution in children and adolescents along social gradients which should be taken into account when managing the caries process at all levels, such as the individual, the group, or a population. The control or reduction of caries activity is the basis for successful caries management. In children, caries management requires adequate daily oral hygiene and fluoride application via toothpaste, ensured by caregivers, and especially for ECC prevention an emphasis on sugar intake reduction is needed. These noninvasive interventions are also suitable to arrest or control initial or even cavitated dentine caries lesions in the absence of irreversible pulpitis. Fluoride varnish or silver diammine fluoride can be added as supplementary agents. In pits and fissures, composite resin materials can be used as preventive sealants and for defect-oriented minimally invasive restorations. In primary molars, preformed metal crowns are more successful than multisurface fillings, especially in caries-active patients. With persisting high caries activity, multiple lesions, and limited cooperation, caries control should consist of robust measures with high success rates, even including extraction in selected cases. This applies especially to treatments performed under general anesthesia.
en
dc.subject
Caries treatment
en
dc.subject
Early childhood caries
en
dc.subject
Primary teeth
en
dc.subject
Permanent molars
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
How to Intervene in the Caries Process in Children: A Joint ORCA and EFCD Expert Delphi Consensus Statement
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1159/000507692
dcterms.bibliographicCitation.journaltitle
Caries Research
dcterms.bibliographicCitation.number
4
dcterms.bibliographicCitation.originalpublishername
Karger
dcterms.bibliographicCitation.pagestart
297
dcterms.bibliographicCitation.pageend
305
dcterms.bibliographicCitation.volume
54
dcterms.rightsHolder.note
Copyright applies in this work.
dcterms.rightsHolder.url
http://rightsstatements.org/vocab/InC/1.0/
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.note.author
Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
de
refubium.note.author
This publication is shared with permission of the rights owner and made freely accessible through a DFG (German Research Foundation) funded license at either an alliance or national level.
en
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
32610317
dcterms.isPartOf.issn
0008-6568
dcterms.isPartOf.eissn
1421-976X